HomeMy WebLinkAboutPermit Electrical 1999-7-28
07/19/99 MON 12:40
CITY OF SPRINGFrELD
_ _141004
. submitted has the talloW
T;'e: tollowlng project atSequire specific land use
. ddoesnor
Zd;\lng an
C1~\Jlo"al C. a....... __ -
225 fIFTH STREET Zoning "" ",J:CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ,-a-'" - "'1 I - ()
INSPECrION REQUEST: 7Z6-3il69 - - . ~ CitLJob Number VlC\ I 0 ~("
OFFICE: 726-3759 .. ,,,,,;r,loO Signature -
M 3 . COMPLETE FEE SCHEDULE BELOIl
1. LOCATION 01' INSTALLATION
,.30lg r-..;:tkuY11.J .s-IYee.-r- . A. Nev Residential-Single or
~ Multi-Family per dvelling unit.
LEGAL DESCRIPTION Service Included:
110" 1-7_ ()nO 77_D() Items Cost Sum
JOB DESCRIPTION
..(.W.1u.gV\s
Permits are non-transferable and expire
if york is not started vithin 180.days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Electrical contractor~/()me.s(YM ('f).
Address NtI<=, I-IwJ' qa N'
Ci ty '1{cxehLYl.l. Phone~)i7.'5 7.fY31n
J
Supervisor License Number Joc,rn 5/ Gl
Expiration Date UO-Ol-qq
Const:e Conte. Number I ~3402
Expiration Date 3-22-01
Signat~. . ~ orf SUP~i.sing Electrician
(\./~ b;..-Lh
OvneLl: Name OrrginrJ! 'PrOdMr)II^R _ An'a
Addref;s 2>01 P> Pq(l#'I)(l (pS,+ .
Ci ty ~fl~(\J-GP I rl P~one
OmER INSTALLATION
The b.stallation is being made on .
property I ovn "hieh is not intended
for" sa.le, lease or rcn t.
Ovners Signature:
i
---------------------------------------
. .
DATE:
RECEI FT *:
RECEIVED BY:
'1- 1'/, - 9 4
'Jp,Od.-'i
I>Uv'
~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd. Home,or
Hodulat:. 'OVelling
Service or .Feeder .
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to. 1000 amps
Over 1000 amps/volts
Reconnect Only
S 85.00
$ 15.00
. $ 4Cl.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or Yith Service
or Feeder Permit
$ 40.00
$ 55.00
$ 80.00
see "Bit above
"
$ 2.00
E. Miscellaneous (Service/feeder not include~)
-Each installation
Pump or irrigation $ 40.00
SignrOutline Lighting d $ 40.00 ~
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
110State Surcharge
37. Administrative Fee
TOTAL
.glJ.rm
~."
~.c..J.()
gf( . an